Veterans seeking treatment for posttraumatic stress disorder: What about comorbid chronic pain?
Veterans seeking treatment for posttraumatic stress disorder: What about comorbid chronic pain?
复制标题
DOI：
10.1682/jrrd.2006.06.0065
复制
发表时间：
2007-01-01
影响因子：
--
通讯作者：
Duncan, Erica
中科院分区：
文献类型：
--
作者：
Shipherd, Jillian C.;Keyes, Megan;Duncan, Erica
我们的主要目的是记录在寻求创伤后应激障碍（PTSD）治疗的退伍军人中医生诊断的慢性疼痛状况的共病率。慢性疼痛诊断（如慢性腰痛和骨关节炎）通过回顾性图表检查。在PTSD患者中，66%的患者在治疗前被诊断为慢性疼痛。这些发现与先前使用疼痛患者样本记录慢性疼痛和创伤后应激障碍的高共病性研究一致。我们的第二个目的是检查创伤后应激障碍治疗之前，期间和之后的疼痛评分。使用临床实践的一部分数据，我们发现治疗前疼痛较多的患者在创伤后应激障碍治疗过程中和治疗后4个月内疼痛有所减轻。虽然我们的结果必须谨慎解释，因为多种混杂因素和缺乏实验操作，他们强调了创伤后应激障碍和疼痛共病的重要性。
Our primary aim was to document the rate of comorbidity of physician-diagnosed chronic pain conditions in veterans who were seeking treatment for posttraumatic stress disorder (PTSD). Chronic pain diagnoses (e.g., chronic low-back pain and osteoarthritis) were examined with retrospective chart review. Of the patients with PTSD, 66% had chronic pain diagnoses at pretreatment. These findings are consistent with previous studies that documented the high comorbidity of chronic pain and PTSD using samples of pain patients. Our secondary aim was to examine pain ratings before, during, and after PTSD treatment. Using data that were a part of clinical practice, we found that patients with more pain before treatment reported reductions in pain over the course of PTSD treatment and in the 4 months following treatment. While our results must be interpreted cautiously because of multiple confounding factors and the absence of experimental manipulation, they highlight the importance of PTSD and pain comorbidity.